Our program adopted an X+Y schedule in July 2014, with three weeks of inpatient or subspecialty rotations (X block) followed by one week of ambulatory and continuity clinic (Y block). In this system, residents will experience:
Our Hospitalist Teaching Service (HTS) was established to meet our patients' needs while offering an exceptional training experience for our residents. Our dedicated teaching faculty are experts in medical education, offering precise feedback and mentorship to our residents. Historically, we have surpassed other non-teaching services across the city in terms of quality and population health metrics.
The HTS team structure includes three teams (A, B, and C), each comprising an attending physician, senior and junior residents, a pharmacist, and medical students. Teams follow a structured rounding schedule, with each team on call every third day, averaging 12-hour call days and 8-hour non-call days. Additionally, a night float system operates seven days a week to ensure continuous patient care. Responsibilities are clearly defined for each role, ensuring efficient patient care and education. Key practices include the I-PASS methodology for handoffs, a patient cap to manage workload, and a focus on evidence-based teaching during rounds. The attending hospitalist oversees team coordination, promotes a culture of safety, and ensures effective communication and collaboration among team members.
The following conferences and rounds provide residents with ample opportunity to discuss clinical cases, review evidence-based care guidelines, and learn from senior faculty.